Abstract
Aim
To explore midwives' experiences with providing home‐based postpartum care during the COVID‐19 pandemic in Norway.
Design
A descriptive and explorative qualitative study.
Methods
The ...study is based on semi‐structured individual interviews with 11 midwives experienced in offering home‐based postpartum care. We explored their experiences of such care during the first wave of the COVID‐19 pandemic. Data collection occurred from October through November 2020. An inductive thematic analysis was performed using Systematic Text Condensation (STC) by Malterud (2012).
Results
The following two main results emerged from the analyses: (1) the midwives adapted quickly to changes in postpartum care during the pandemic and (2) midwives saw the experience as an opportunity to re‐evaluate their practices.
Conclusion
This study highlights midwives' resilience and adaptability during the first wave of COVID‐19 pandemic. It emphasises the crucial role of face‐to‐face interactions in postpartum care, while recognising the value of technology when direct access is limited. By shedding light on midwives' experiences, this research contributes to improving postpartum care in unforeseen circumstances. It underscores the significance of interdisciplinary integration in planning postpartum care services and the lasting influence of lessons learned on addressing future challenges.
Implications for Practice
The valuable insights gained from lessons learned during the COVID‐19 pandemic may have a lasting influence on the postpartum care system, empowering it to tackle unforeseen challenges both today and in the future.
Impact
The current study addressed midwives' experience with providing home‐based postpartum care during the COVID‐19 pandemic in Norway. Midwives received an opportunity to re‐evaluate their own practices and valued being included when changes were implemented. The current findings should alert policy makers, leaders and clinicians in postpartum care services when planning future practice.
Study background
Journals are key learning mechanisms for nursing organizations. Analysis of publications provides opportunities to explore influences, priorities, and perspectives of nurses over ...time.
Purpose
To identify historical trends in maternal–infant health and nursing practice.
Methods
Historical bibliometric and content analysis of articles in The Canadian Nurse, 1905–2015. Six hundred sixty-eight lead publications in the journal were identified. Data were extracted on authorship, writing style, geographical distribution, and language, and content themes were determined.
Results
Five hundred twenty-five publications were written by nurses, and 272 came from the Ontario and Quebec. Nine key content areas were identified, including changing families, women’s bodies, prenatal care, birth care, postpartum care, when things go wrong, and keeping babies healthy. The number of maternal–infant publications in this national journal has been decreasing since the emergence of specialty journals.
Conclusion
Advances in perinatal nursing practice over the past 115 years in Canada reflect emerging scientific developments and evolving social values. These articles traced the medicalization and reclamation of pregnancy and childbirth, the shifting role of nurses in relation to other health and social care providers, and the impact of determinants of health on the well-being of mothers, infants, and families.
Confidently deliver safe, accurate intrapartum care with the expert guidance of Intrapartum Management Modules, 5e. This essential, fully updated edition offers easy-to-follow directions on the full ...range of intrapartum skills, from admission assessment of the laboring woman and fetus to delivery and postpartum care. Written by top-level intrapartum nurses and educators, this is not only an essential study aid for inpatient obstetric nursing certification; it also offers indispensable orientation support to new practitioners. Absorb the A to Z of intrapartum nursing science and skills . . . NEW and updated content offers the latest evidence-based therapeutic methods, drugs, and technologyNEW chapter on electronic fetal heart rate monitoringPractice strips for monitoring fetal heart rate and contractionsEnd-of-module practice/review questions and end-of-book posttests to aid retention and bulletproof exam preparationCenters for Disease Control guidelines for safe labor and deliveryNational Institute of Child Health and Human Development guidelines for accurate electronic fetal monitoringSelf-paced independent learning manual-step-by-step directions for vital skills, including:Physical exam of the laboring womanEvaluating contractionsMeeting the individual and cultural needs of the laboring woman and familyIdentifying the high-risk mother and fetusAssessing fetal healthManaging gestational diabetesDetermining whether a patient is at risk for domestic violenceEvaluating fetal lie and presentationBreathing and effleurage techniquesManaging an unexpected delivery
Have you ever wondered what's involved in practising as a maternal and child health nurse? Natalie Dragon investigates the different aspects of the role and the significant difference these nurses ...can make to the lives of young families.
Nurse-midwives often find themselves in situations where current research-based treatment conflicts with established practices that may be ineffective or even harmful. This text provides a roadmap ...for nurse-midwives who strive to implement change through evidence-based practice by presenting the most current evidence-based research on the care of childbearing women. It is the only book about evidence-based practice for nurse-midwives that encompasses the most controversial areas of practice. The text incorporates the foundations of midwifery and the midwifery model of care throughout. The book discusses the use of electronic databases in examining evidence and identifying best practices. It considers how the current workforce environment affects the practice of nurse-midwifery, and describes evidence-based practices in the care of childbearing women. Each chapter reviews current literature, describes contemporary practices and explores whether these practices are based on scientific evidence. Case studies enhance the examination of evidence and the identification of best practices.
Aims and objectives
To report an analysis of the concept of maternal risk and explore implications for practice using Walker and Avant's eight step method analysis.
Background
Although mortality ...during pregnancy is a relatively rare occurrence, serious maternal morbidities are increasingly present in today's pregnant population. Risk factors have been identified that increase the potential for morbidities and subsequent care modalities have been implemented to decrease this risk. However, despite the wide use of the term ‘risk’ in the medical and nursing literature, determining a common definition is difficult. Differences in the understanding of risk during pregnancy can hinder the ability to provide consistent and appropriate care.
Design
Concept analysis.
Methods
A search of the English literature was completed using the databases CINAHL, PubMed, Medline, and Google Scholar for years 2000–2014 using the keywords ‘risk’, ‘maternal’ and ‘pregnancy’.
Results
Three defining attributes of risk were identified: chance of injury/loss, cognitive recognition and the decision‐making processes. The antecedent of risk is the ability to understand the situation and cognitive ability to think about the potential consequences and adverse outcomes. Consequences of risk include the actual action taken as a result of the decision‐making process.
Conclusion
This paper contributes to the understanding of risk allowing for the development of an individualised plan of care for each pregnant woman and empowering the nurse to advocate for appropriate care. Findings in this analysis assist nurses in bridging the gap in communication between the provider's and pregnant woman's interpretation of risk.
Relevance to clinical practice
The analysis of risk resulted in the identification of differences in perceptions of risk that can potentially result in miscommunication between provider and pregnant woman and increase the risk of inadequate or incomplete care.
Aims
To explore which conditions of community engagement are implicated in effective interventions targeting disadvantaged pregnant women and new mothers.
Background
Adaptive experiences during ...pregnancy and the early years are key to reducing health inequalities in women and children worldwide. Public health nurses, health visitors and community midwives are well placed to address such disadvantage, often using community engagement strategies. Such interventions are complex; however, and we need to better understand which aspects of community engagement are aligned with effectiveness.
Design
Qualitative comparative analysis conducted in 2013, of trials data included in a recently published systematic review.
Methods
Two reviewers agreed on relevant conditions from 24 maternity or early years intervention studies examining four models of community engagement. Effect size estimates were converted into ‘fuzzy’ effectiveness categories and truth tables were constructed. Using fsQCA software, Boolean minimization identified solution sets. Random effects multiple regression and fsQCA were conducted to rule out risk of methodological bias.
Results/findings
Studies focused on antenatal, immunization, breastfeeding and early professional intervention outcomes. Peer delivery (consistency 0·83; unique coverage 0·63); and mother‐professional collaboration (consistency 0·833; unique coverage 0·21) were moderately aligned with effective interventions. Community‐identified health need plus consultation/collaboration in intervention design and leading on delivery were weakly aligned with ‘not effective’ interventions (consistency 0·78; unique coverage 0·29).
Conclusions
For disadvantaged new and expectant mothers, peer or collaborative delivery models could be used in interventions. A need exists to design and test community engagement interventions in other areas of maternity and early years care and to further evaluate models of empowerment.
Objective: Despite the increasing use of screening instruments to identify women with postnatal depression (PND), many do not access services and supports. It is unclear how women's experiences of ...PND influence their beliefs and attitudes and their choice to seek help. We will also explore ways family, friends and health professionals can facilitate help seeking behaviours. Design: A qualitative study which explored: 'experiences after having a baby', 'recognition of symptoms', 'seeking help', 'treatment experiences and options' and 'ideal treatment'. Setting: Participants were recruited from either hospital based outpatient PND treatment programs or community based mutual support programs. Subjects: Forty women experiencing PND and either receiving treatment or attending support groups. Main Outcome Measure: To gain an insight into the ways women experience PND and perceive their distress, and how this influences their beliefs and attitudes towards acknowledging their distress and seeking treatment. Results: Findings suggest the lived experience of PND and associated attitudes and beliefs result in significant barriers to accessing help. Eight theme clusters were identified: expectations of motherhood; not coping and fear of failure; stigma and denial; poor mental health awareness and access; interpersonal support; baby management; help-seeking and treatment experiences and relationship with health professionals. Conclusion: Implications for improved identification and management include helping health professionals to be aware of the personal and societal barriers preventing mothers from acknowledging their distress. Media campaigns may also be helpful in challenging community views of PND, as well as highlighting the range of treatment options available to mitigate concerns over medical/pharmacological approaches.
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